Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing.
Responsibilities: • Performs comprehensive pre-existing reviews and makes clinical determinations of pre-existing or not pre-existing status based on medical judgment and contractual eligibility of the services provided. The comprehensive review includes review of related claims and customer service documentation, and review and interpretation of all medical records. Performs these reviews in a timely manner meeting departmental and corporate turnaround requir...